HomeMy WebLinkAboutCAble Street Cut Permits Between 73 and „Permit No. 2591 Town of South Windsor, CT
Date 02/17/1999 Street Excavation Permit
Expiration Date 02/17/2000
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Applicant Location
Name COX COMMUNICATION$ ,` .ri 81
Add r. 801 PARKER ST
06040 CT 06040 yp pf �Wor� CABLE
Phone (860)512-5000 �
Applicant agrees b 1 h T of`o idsor the amount of bond
required and to reim' r �,d �e flora mouth 0 sro� for any expenses
incurred by the Town�� ” *1 Rtd,4 i* in connection with this
permit and that app' i 'i, � ��� a i°tl abide by the rules and
regulations for permit Z�� South Windsor's Street
Cut Permit Manual _., "
,-; '�.,, o'�f",A'' +�.��ryA a ,•,I���,35y^" �'d i„'�';�
* * PERMIT T ,sB6 T� T ALL TIMES..*
.Issued by � W �_, `'itle _
Date Completed Inspected By
APPLICATION FOR STREET EXCAVATION PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540`SULLIVAN AVENUE
SOUTH WINDSORF CT _
FEE $25.00
Name of Firm COXG"' Phone No. �l Z--5
Address of Firm 001 fn4re"-r
Location of proposed work ny h0 e- G L 2 en-7 3 f
Describe fully nature of permit requested /! ? on 1byj TDT rATV
Starting date Approx.time for completion
Call Before You Dig No. _ — 66'0 -&PM Traffic Services Control No.
Show sketch of proposed work or furnish To be fiilied out by Town of South Windsor
two copies of separate drawing
Pavement Cut
Indicate North Prop.size of cut
No.cuts
Amt.of Deposit$ by
l;)Cash()Check#
Cut size after Perm. Patch
No. Cuts
Final Billing$
Amt. Due Town$
Applicant is responsible for contacting by date
the Police Dept.and C.B.Y.D,
I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF '
SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS
PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE
TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT MANUAL
9
Signed: Date: .
Title: D.L.#:
PERMIT SHALL BE KEPT ON]OBSITE AT ALL TIMES
Standard FormsWermitAStreet-Excavation Permit.doC